Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLOOM NUTRITION SOLUTIONS LLC
NPI 1811581705
Dietitian, Registered in Utica, NY

Active since February 22, 2021
326 BROAD ST, UTICA, NY 13501(315) 351-2622(315) 215-2920 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 17, 2026, Feb 22, 2021 (2 updates tracked since 2021).

About Bloom Nutrition Solutions Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOM NUTRITION SOLUTIONS LLC (NPI 1811581705) is a healthcare organization registered as a dietitian, registered in Utica, New York and active in the NPI registry since February 2021. The organization lists Alexandra Nicolette, Registered Dietitian Nutritionist, as its authorized official.

NPPES Registry Identity

NPI1811581705
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameBLOOM NUTRITION SOLUTIONS LLC
Location Address326 BROAD STUtica, NY 13501-1203
Mailing Address326 Broad StUtica, NY 13501-1203 · (315) 351-2622 · Fax (315) 215-2920
Fax(315) 215-2920
Organization SubpartNo
Authorized OfficialAlexandra NicoletteRegistered Dietitian Nutritionist · (315) 351-2622
Enumeration DateFebruary 22, 2021
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1811581705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
326 BROAD ST, Utica, NY 13501

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bloom Nutrition Solutions Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bloom Nutrition Solutions LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Registered Dietitian or Nutrition Professional
NPI 1689237372
2615 GENESEE ST
Utica, NY 13501
(315) 351-2622
✔ Accepts Medicare3.1 mi
Registered Dietitian or Nutrition Professional
NPI 1548098502
2615 GENESEE ST
Utica, NY 13501
(315) 351-2622
3.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloom Nutrition Solutions LLC's NPI number?

The NPI number for Bloom Nutrition Solutions LLC is 1811581705. It was assigned to this organization in the NPPES registry on February 22, 2021.

Where is Bloom Nutrition Solutions LLC located?

Bloom Nutrition Solutions LLC is located at 326 Broad St, Utica, NY 13501. The listed phone number is (315) 351-2622.

What is Bloom Nutrition Solutions LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Bloom Nutrition Solutions LLC enrolled in Medicare?

Yes. Bloom Nutrition Solutions LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Nutrition Solutions LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Bloom Nutrition Solutions LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bloom Nutrition Solutions LLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.